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Home My WebLink About1057-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...Z..~.] .......... Dote ............................ ~S,e.....~'~J ......... , 19.60.. THIS CERTIFIES that the building located at .~/~.....~z%ttT~a~,,.~...p~;t~h. ....................... Street Bay Lake Park .., Map No ......................... ~,oc~¢ lx~o.....~f~..~ ........... Lot No. 'X'~,X'""E~l~"~r'i'o~'"'"~;'g'~ .......... conforms substantially to the Appl'ication for Building Permit heretofore filed in this office dated ................................. A.p~.~'~.'-"g,O', 19.~(~., pursuont to which Building Permit No ...... '~O~' ......... doted ....................... ~,~.f_,~....,~. ........ 19.~).., wa.s issued, and conforms to all of the requirements oF the applicable provisions of the law. The occuparncy for which this certificate is issued is ................ ..................... p~ ~L.v~.~:e...orze..~ ~i.]77..~ .]:.Z.~n~ ........................................................................... This certificate is issued to ..... Oeor.~.e..&..~le&e..5eh~.t,~ ........... (~e~.e)....:: ..................... of the aforesaid building. Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES ,UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 1057 Z Permission is hereby granted to: at premises located at r~ pursuant to application dated ........................... .~.]~ ;,.'i.~ ............... t9~0..., and approved~, b~, tb, e Building Inspector Fee / ~ au~ra~ng m spec'to(f~ ', ,~, Approved .................................... , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. l ..Z..Perm,t ...... Application No....L..O...~,..:7. ............ APPLICATION FOR BUILDING PERMIT D. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises ava.liable for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issua.nce of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable bows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ',,,,~I ,L,L -' .. iq ~ . .... ........................... ' (Sign~[~re of applicant, or name, if o corporation) 55 Marlborough Rd. · .Wes.t;.. ttemp~,., l~l~.. ~o~.k ............................................. (Address of applicant) State whether c~pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses .................G..e..°.~.~.e....~...~...~....a.~.e...A.....8..e.~.t..t,. ................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate, officer) l~eg4nning at priv.te road known as T~n'e Path 1. Location of land on which proposed work will be done. Map No; .~p..O~..~4.~ey~.~ at ~st ~,rion date~ Aug 25, 1958 by Otto ~ Van ~yl a Son, bounded on ~rth ~ land of Street and Numbe~$~$amsr~n~ng~.8~eet~weste~hen~e~7~e~s~u~y~d..by lan~ of A. ~ieb, thenee ~.~7 feet eo~a~y bounded by right,f-way, thenee 96.13 feet eaeter~ ~unded ~ right~ ~a2,the~e 49 fee~ northely ~onting on pre,ate roan ~own as 2. State existing use and occupahcy of premises and~ntende~ ~e~gnd_occup.ancy of ~ropose~ gons[ruc}ion: 'A'~m~'er~m~ :p p6int or pzaee or-oe~nnxng. a. Existing use and occupancy ............ ~..h~ .............................................................................................. b. Intended use and occupancy ............ ~..~P~ ............................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition......X ............. Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........~. ~. .0. 0. .: .0. .Q ...................................... Fee ............ ~..~.....0~.. .................................................................. (to be paid on filing this application) 5. if dwelling, number of dwelling units .......................... Number of dwelling units on each floor .................................. If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ Rear ...~...~ ................. Depth 7. Dimensions of existing structures, if any: Front ........~,~...~ ................ ~.~..! ...................... Height ..... ~.~..I. ................. Number of Stories .................. ..~. ....................................................................................... Dimensions of same structure with alterations or additions: Front .......... ~. .................... Rear ...... ~ ........................ Depth ~2# Height 161 Number of Stories 1 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ................................ Rear 49! Depth 9. Size of lot: Front .........~?.!. .................................................................... 10. Date of Purchase ............ ~...t~..~...1.~.~....1..9..~.9. ............... Name of Former Owner Nel]~, Willia~ls I L, Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or reflulation? ........................................................ 5~ l~a~lborough 13. Name of Owner of premises...~..~.O.~g~..~..l~...~ ..........Addressli~t...~.~pe%~¥..N..~ ..... Phone NO.~.V...9'..0.~.~.... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor .................................................... Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. I~m e~alosi~g a ,front open poroh, the ~oo~ ~&s ,&l~eady in plaae ~hen the, house was,, purchased aa shown on the S~I~, STATE OF NEW YORK ) COUNTY S. S. ................ .~.~'~..~.,..~L%% .............................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) Owner above named. He is the ......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ali statements contained in this application are true to the best of his knowledge and belief; and that the wo~< will be performed in the manner set forth in the application filed therewith. Sorn to befor me th s ~ / / ~o~ public ia the ~ate al N,~w ~u~t~ FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. Examined .......~.6z .......................... , ~ " , 7 Approved .................................... , 10 ........ Permit No ................................. Application No ...... /...0...~;..~ .......... Disapproved a/c .......... ~ ....... ]~.;~,.;:...., ......... .;~';: ......... ? / I ~ (Building Inspe? r) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wilt issge a Building Permit to the applican¥. Such permit shall be kept on the premises available for inspection throughout.the progress of the work. e. No building shall be occupied or used in whole, or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the. Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applic, ont agrees to comply with all applicable laws, ordinances and regulations. · ~ (Signore of app ~cant, or name, if a corporation) 55 Marlborough Rd. · .wes.~.. Hemps.teaxt,.. N~.w.. ~.o~.k ............................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................... ........................................................................................................................................ Name of owner of premises ................ .6..e..°..zT.g.e...?....~....~..1...~L...e....~.....8.~R..~l:..~ ................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate, officer) Beginning at private road known as Truman's Path 1. Location of land on which proposed work will be done. Map No: .Map..of..~ncl.s.t~rx.e~.e~.i~ B~r..Nilllams at ~st M~rion dated Aug 25, 1958 by Otto W Van ~1 & Son, boun~ed ~n north by l~d of Street andNumbe~.~ams~.~n~mg~.~7~`8~ee~..wes~e~F.~.~%henee.~..~fee%..s~t~Z~.~un~ed~by land of A. ~ieb, thence ~.~7 feet so~F bounded ~ right~f-~y, thence 96.13 feet easterly bounded ~ right ~f ~ay,thence 49 feet northely ~onting on private road ~own as 2. State ex~sting use and occupancy ct premises and ~ntende~ use and occupancy of ~roposed qons~ruc[ion: T~m~-s P~th, tp point or place of ~egzn~. a. Existing use and occupancy ............ ~er..ho~ .............................................................................................. b. Intended use and occupancy ............ t?,l/l~e~.~ome ............................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition......~. ............. Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... $.,3QQ,(~0. ...................................... Fee ........... .~...~.:..0..0. .................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .......................... Number of dwelling units on each floor .................................. If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ........25...~ ............ Rear ...R~; ..................... Depth ....~.! ...................... Height ..... ~.~. ................. Number of Star es ............ .!.. .., Dimensions of some structure with alterations or additions: Front ........ :~..li!~ .............. Rear ....~.!~.t! .................. 2" 16' 1 Depth ........ ~. ...................... Height ............................... Number of Stories ................................ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ................................ 9. Size of lot: Front ......... .~.~.~. ............ Rear ........ .4 .................. Depth 10. Date of Purchase .............A.~.~.]r...]r~..~...]'.~..9. ................ Name of Former Owner Nella Williams 11. Zone or use district in which premises are situated ..................................................................................................... ' N0 12. Does proposed construction violate any zoning law, ordinance or regulation? ........................................................ 13. Name of Owner of premises..Geo~s..8~J~Mt.~.t, .......... Address~e.~t,...~¢e~rdi..i~..¥ ..... Phone NO.I.I~...9..-.0.~.~.... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor .................................................... Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. Itm enclosing a front open porch, the roof was already in, place when the house was purchased as shown on the survey. ~.~ ~ cou w OF ................. (}eo~e..I~.,,..~cl'm~*%% .................... r..., ........... . ............ being d. uly sworn, dbpos, es and says that he is the applicant (Name of ind!vidua[ signing application) abow~ named. He is the ...... ..~..~..~:~ ....................................... ' ....... '. ............... ........................................... ................ '. ............... ~Contractor, agent, corporate, officer, etc.) of saikt owner or owners, and is duly authorized to perform or have. performed the said work and to make and file th s application; that alt statements contained in this application are true to the best of his knowledge and belief; and that the w?rk will be performed in the manner set forth in the application filed therewith. Sworn to bef:~e/me th.s' /~ -- ¢ ~g~,p